Surgical Oncology

How should surgeons deal with cancer patients? The cornerstone of effective treatment is a multidisciplinary collaboration between many specialties in which surgeons are not only concerned about operative accessibility and technique but rather have a deep understanding of the fundamental biology of the malignancy they are dealing with and appreciate the reach of multi-modal treatment. This handbook is a practical reference for today's surgeons who actively manage cancer patients in both the acute and out-patient setting. It covers all the key areas, from initial presentation and diagnosis, investigation and staging, to active discussion in collaborative multidisciplinary cancer network meetings, operative management, post-operative care, and long term surveillance and palliation. Drawing together all the varied guidelines and source materials that form the basis of this complex subject, it is the first surgical oncology text that provides instant access to detailed clinical algorithms and operative techniques covering the wide range of cancers that general surgeons encounter, from GI tract to breast and endocrine cancers. Consistently sourced from current evidence based guidelines with a concise summary of underlying pathology and molecular biology, Surgical Oncology will enable the reader to knowledgably manage cancer patients from initial assessment to long term surveillance. It is an essential accompaniment for all higher surgical trainees from MRCS to the exit FRCS and EBSQ exams, and will be particularly useful for trainees rotating between surgical subspecialties, as well as having wide appeal to other members of the multidisciplinary team. Covers all the major cancer regions encountered by general surgeons from GI tract to breast and endocrine cancers, to soft tissue sarcomas Provides instant access to detailed clinical algorithms, recognised guidelines and source materials that guide current evidential practice Includes detailed stepwise operative management from initial presentation and diagnosis, as well as neoadjuvant and adjuvant strategies and long-term surveillance or palliation surveillance Acts as a highly useful guide for those sitting exit exams at the end of higher surgical training, FRCS, EBSQ, as well as American board candidates and other members of the multidisciplinary team Covers the key areas in this complex discipline, from diagnosis, pathology and molecular biology, and appropriate staging and radiology, to evaluating the reach of multi-modal treatment Edited by M Asif Chaudry , Specialist Registrar in Surgery, London and Surgical Research Fellow, Division of Surgery and Interventional Science, University College London, UK, and Marc Christopher Winslet , Professor of Surgery, Head of Department and Chairman of Division of Surgery and Interventional Science, University College London, UK CONTENTS 1: Cancer radiology 2: Breast cancer 3: Thyroid and parathyroid tumours 4: Oesophageal cancer 5: Gastric cancer 6: Liver and biliary cancers 7: Cancer of the pancreas 8: Small bowel and rare GI cancers 9: Colorectal cancer 10: Anal cancer 11: Renal cancer 12: Bladder cancer 13: Prostate carcinoma 14: Testicular cancer 15: Soft tissue sarcoma   Mohammed Asif Chaudry is a specialist registrar in surgery in London and surgical oncologist in training with an interest in gastrointestinal cancer. He was educated at Wadham College, Oxford where he was awarded a scholarship and gained MA, BM BCh degrees from Oxford University with distinction in 1999. His subsequent postgraduate training was in Oxford and London. His principal research interest is the tumour antigen EpCAM, its involvement in tumour establishment and metastasis as well as its potential as a target for immunotherapy. He was the chair of the cancer sessions at the International Drug Discovery Science and Technology Conference, held in Beijing and Xian, China in 2007 and 2008, and he has worked on various relief projects with Doctors Worldwide. He was one of the founders of the City Circle, Careers and Mentoring Project, and has contributed numerous chapters for various medical publications. Professor Winslet qualified in 1981 and obtained the Fellowship of the Royal College of Surgeons of England and Edinburgh in 1985. He was appointed Hunterian Professor RCS England in 1987 and was awarded the Master of Surgery degree from the University of London in 1988 before being appointed Honorary Consultant Surgeon with a special interest in colorectal and oesophagogastric surgery. He has been Chairman of the Division of Surgery and Interventional Science, Professor of Surgery and Head of Department at UCL since 2003 and Professor of Surgery and Head of Department of Surgery at the Royal Free Hospital since 1997. He has lectured and published widely on clinical research aspects of the diseases of the gastro-intestinal tract and is co-editor of the journal 'Colorectal Disease'. Contributors: Irfan Ahmed, Department of Interventional Radiology, St Thomas's Hospital, London   Manit Arya, The Institute of Urology, University College London, UK   Hennah Bashir, Chelsea & Westminster Hospital, London, UK   Gemma Conn, University Department of Surgery, Royal Free Hospital, University College London, UK   Jason Constantinou, Department of Surgery, Whittington Hospital, London, UK   Harleen Deol, Department of Endocrine Surgery, Broomfield Hospital, Chelmsford, UK   Mark Emberton, The Institute of Urology, University College London, UK   Asma Fikree, Department of Gastroenterology, Barnet & Chase Farm Hospital, London, UK   Said A Mohamed, Epsom & St Helier University Hospital, Epsom, UK   Borzoueh Mohammadi, Department of HPB surgery, Royal Free Hospital, University College London, UK   Antony Pittathankal, Department of Surgery, St Bartholomew's Hospital, London, UK   Shahnawaz Rasheed, St Mark's Hospital & Academic Institute, Harrow, UK   James R A Skipworth, Department of Upper Gastrointestinal Cancer, University College London, UK   Simon G T Smith, Department of Breast and Oncolplastic Surgery, Broomfield Hospital, Chelmsford, UK   Hashim Uddin Ahmed, The Institute of Urology, University College London, UK